ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1912324831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912324831 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Other Organization Name | ANNE ARUNDEL MEDICAL GROUP RADIATION ONCOLOGY |
| Practice Address |
2001 Medical Pkwy Donner Pavilion Annapolis MD 21401-3280 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4434815800 |
| Practice Fax Number | 4434815808 |
| Mailing Telephone | 4434816573 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-04-07 |
| Authorized Official Name | STEPHEN L CLARKE (VICE PRESIDENT) |
| Authorized Official Telephone | 4434816558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Anne Arundel Medical Group Radiation Oncology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187052 | Anne Arundel Physician Group, LLC | Surgery | 8116 Good Luck Rd Ste 215, Lanham, MD 20706-3508 | 2020-02-24 |
| 1851925309 | Anne Arundel Physician Group, LLC | Durable Medical Equipment & Medical Supplies | 4000 Mitchellville Rd Ste B116, Bowie, MD 20716-3143 | 2020-02-24 |
| 1942850334 | Anne Arundel Physician Group, LLC | Family Medicine | 1332 Cape St Claire Rd, Annapolis, MD 21409-5216 | 2019-09-17 |
| 1164088159 | Anne Arundel Physician Group, LLC | Family Medicine | 1110 S Talbot St Ste 6, St Michaels, MD 21663-2606 | 2019-05-15 |
| 1578127171 | Anne Arundel Physician Group, LLC | Family Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-04-29 |
| 1083191530 | Anne Arundel Physician Group, LLC | Midwife | 4175 N Hanson Ct Ste 201, Bowie, MD 20716-3181 | 2018-07-26 |
| 1811494990 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 403 Purdy St Ste 201, Easton, MD 21601-4059 | 2018-04-06 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
| 1417463951 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
| Street Address |
2001 MEDICAL PKWY DONNER PAVILION |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269343 | Karl Derivas Holschuh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Medical Pkwy, 2nd Floor Donner Pavilion, Annapolis, MD 21401-3280 | 2005-07-14 |
| 1821698952 | Courtney Erin Lamb | Nurse Practitioner | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-10-28 |
| 1013537406 | Heather Zack | General Acute Care Hospital | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-26 |
| 1649890484 | Rebecca Scarlett Allen | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-22 |
| 1003435157 | Caroline Elizabeth Thomas | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-09 |
| 1275162604 | Nirmala Kammar Manjappachar | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
| 1144859505 | Sabina Nasirova | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
| 1528697976 | Ebenezer O. Oloyede | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
| 1699304253 | Elnaz Ebrahimihoor | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-06 |
| 1770112641 | Jessica Urania Reyes-peterson | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013136886 | Luqman K Dad | Radiology | 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401-3046 | 2007-04-24 |
| 1619979366 | Mary E Young | Radiology | 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401-3046 | 2005-08-12 |
| 1174525935 | Angel E Torano | Radiology | 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401-3046 | 2005-08-11 |
| 1902807324 | Brown, Croft, Frazier, Pa | Radiology | 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401-3046 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1538546262 | Skin Cancer Eb, LLC | Radiology | 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 | 2015-05-01 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1265851323 | Matthew Jeffrey Ferris | Radiology | Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 | 2014-04-15 |
| 1548608334 | Rajal Patel | Radiology | 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 | 2013-06-13 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1528319209 | Andra Valentina Krauze | Radiology | Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 | 2012-09-21 |
| 1043586142 | Matthew Jacob Boyer | Radiology | 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 | 2012-03-22 |
| 1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANNE ARUNDEL PHYSICIAN GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.